Eusebio Dental
ALAMEDA, CALIFORNIA
Gum Treatment
Scaling and Root Planing
Reduce tenderness, keep the treated areas clean, and support healing after a deep cleaning.
Your gums may feel sore or sensitive for a few days.
Deep cleaning removes buildup below the gumline. Daily cleaning at home helps the gums heal and stay healthy.
What to Do Today
Do not chew until the numbness is gone.
Choose soft foods if the gums are sore.
Avoid very hot, spicy, hard, or crunchy foods today.
Brush gently with a soft toothbrush.
Use any mouth rinse or medicine exactly as directed.
What to Expect Next
Tomorrow
Brush twice a day with a soft brush.
Clean between your teeth every day.
Warm salt water may soothe sore gums.
Keep tobacco away from the healing gums.
Days 2-3
Mild bleeding, tenderness, and tooth sensitivity may continue.
The gums should slowly feel better.
Keep cleaning gently. Do not stop because of mild bleeding.
Days 4-7
Sensitivity and soreness should improve.
Keep up daily brushing and cleaning between teeth.
Later Healing
Gum healing continues for several weeks.
Keep the recheck visit so we can measure healing.
Periodontal maintenance visits help prevent the disease from returning.
Pain Relief After Dental Treatment
Some soreness or tenderness is normal after dental treatment. Pain should generally become easier to manage as you heal.
Follow any instructions given specifically to you by your dentist. The information below is for adults and does not replace advice from your physician, pharmacist, or dentist.
For mild pain
Take one of the following, if it is safe for you:
Ibuprofen 400 mg every 6 hours as needed
ORAcetaminophen 500 mg every 6 hours as needed
Take ibuprofen with food and water.
For more discomfort
If our dentist has told you that both medicines are safe for you, you may take:
Ibuprofen 400 mg plus acetaminophen 500 mg together every 6 hours as needed.
The two medicines work differently and may provide better relief when taken together.
Use the lowest amount that controls your discomfort. Stop taking pain medicine when you no longer need it.
Daily limits
Unless a doctor or dentist has given you different instructions:
Do not take more than 2,400 mg of ibuprofen in 24 hours
Do not take more than 3,000 mg of acetaminophen in 24 hours
Count acetaminophen from all medicines you take
Acetaminophen may also be listed as APAP and is found in many cold, flu, sleep, and prescription pain medicines. Do not take more than one acetaminophen-containing product unless a healthcare professional has confirmed that it is safe.
Do not combine ibuprofen with other anti-inflammatory pain medicines such as naproxen (Aleve) unless directed by a healthcare professional.
Check before taking ibuprofen
Do not take ibuprofen unless a physician, pharmacist, or dentist says it is safe if you:
Have kidney disease
Have a history of stomach ulcers or gastrointestinal bleeding
Take a blood thinner or certain antiplatelet medicines
Have been told to avoid aspirin or anti-inflammatory medicines
Have an allergy or serious reaction to ibuprofen, aspirin, or other NSAIDs
Have certain heart conditions or uncontrolled high blood pressure
Are pregnant, trying to become pregnant, or breastfeeding
Do not use ibuprofen at 20 weeks of pregnancy or later unless specifically directed by your healthcare professional.
Check before taking acetaminophen
Do not take acetaminophen unless a physician, pharmacist, or dentist says it is safe if you:
Have liver disease
Regularly drink three or more alcoholic beverages per day
Take another medication containing acetaminophen or APAP
Have previously had an allergic or serious reaction to acetaminophen
Avoid alcohol while taking pain medicine.
Prescription medication
Take prescription medication only as directed. Do not take additional acetaminophen if your prescription already contains acetaminophen or APAP unless your dentist, physician, or pharmacist specifically tells you to do so.
Prescription pain medicine may cause sleepiness or slower reaction time. Do not drive, operate machinery, drink alcohol, or combine it with sedatives unless your prescribing clinician says it is safe.
Call our office
Contact Eusebio Dental if:
Pain is severe or is not controlled by the recommended medicine
Pain becomes significantly worse after initially improving
Swelling continues to increase
You develop fever, pus, a foul taste, or other signs of infection
You have questions about which medication is safe for you
Call 911 for trouble breathing, difficulty swallowing, rapidly spreading swelling, chest pain, fainting, or signs of a serious allergic reaction.
Important
These instructions are intended for adults. Do not use these doses for children or adolescents unless a dentist, physician, or pharmacist provides instructions based on the patient’s age and weight.
Normal Healing
Gum tenderness for a day or two
Mild bleeding
Tooth sensitivity for up to a week
Gums that look or feel different as swelling goes down
Slow improvement
You Might Be Wondering
Why are my teeth sensitive?
Cleaning below the gumline can uncover sensitive root areas. This often improves.
Should I brush if the gums bleed?
Yes. Brush gently with a soft brush. Daily cleaning helps the gums heal.
When can I eat normally?
Eat normally when the numbness is gone and the gums feel comfortable.
Why do I need a recheck?
We need to see how the gums healed and measure the spaces around the teeth.
Helpful Tips
Use a soft toothbrush.
Lukewarm foods may feel better than very hot or cold foods.
Use toothpaste for sensitive teeth if we recommend it.
Keep your periodontal maintenance visits.
Why This Matters
Daily plaque removal helps the gums attach more firmly to the teeth.
Tobacco slows gum healing.
Follow-up care helps keep gum disease from coming back.
Scaling and Root Planing